Medicine Management Flashcards
A nurse is caring for a child who is 14 kg in weight and is prescribed 20 mg/kg of Paracetamol. The available syrup contains 120 mg/ 5 mL syrup. How many mL does the nurse need to give?
a) 13 ml
b) 10 mL
c) 11.6 mL
d) 14 mL
c) 11.6 mL
20/120 x 5
= 0.83
0.83 x 14kg
=11.62
=11.6 mL
Atropine is found in the deadly nightshade plant. It is used as an anticholinergic drug that acts by blocking muscarinic acetylcholine receptors. One of its actions is …
a) sweating
b) bradycardia
c) dilated pupils
d) salivation
a) sweating
A patient has been prescribed 10,000 units of Heparin. The nurse has Heparin 25,000 units/mL. How much does the nurse administer?
a) 0.04 mL
b) 0.4 mL
c) 2.5 mL
d) 4 mL
b) 0.4 mL
10,000/25,000
=0.4
A client has been prescribed Diazepam. Diazepam has which of the following effects?
a) Inhibits the reuptake of serotonin
b) Increases the activity of gamma aminobutyric acid (GABA)
c) Increases the reuptake of serotonin
d) Decreases the activity of gamma aminobutyric acid (GABA)
b) Increases the activity of gamma aminobutyric acid (GABA)
Gentamycin 300 mg is prescribed. The vial contains 80 mg/2 mL. How much should the nurse administer?
a) 7 mL
b) 8 mL
c) 7.5 mL
d) 8.5 mL
c) 7.5 mL
300/80 x 2
=7.5
A nurse is caring for a child who is 14 kg in weight and is prescribed 20 mg/kg of Paracetamol. The ward stock is 250 mg/5 mL syrup how many mL does the nurse give?
a) 5.6 mL
b) 6.5 mL
c) 5 mL
d) 8 mL
a) 5.6 mL
20/250 x 5= 0.4
0.4 x 14
=5.6 mL
A patient is prescribed 250 mL red blood cells over 1 hour. The nurse is using a 20 drop/mL giving set. How many drops/min are required?
a) 83
b) 35
c) 25
d) 85
a) 83
250/1 x 20/60
=83 drops/min
The mode of action of aspirin is …
a) Antipyretic
b) Phosphodiesterase inhibitor
c) Analgesic
c) COX inhibitor
c) COX inhibitor
A patient is prescribed the following IV regime: 1 L sodium chloride over 8 hours via a 60 drop/mL giving set. How many mL per hour do you give?
a) 90 mL/hr
b) 250 mL/hr
c) 100 mL/hr
d) 125 mL/hr
d) 125 mL/hr
1L= 1000 mL
1000/8 x 60/60
=125 mL/hr
Your patient is prescribed 1L of normal saline over 10 hours. You are using a 60 drop/mL giving set. What do you set the rate to?
a) 100 dpm
b) 80 dpm
c) 10 dpm
d) 50 dpm
a) 100 dpm
1L=1000 mL
1000/10 x 60/60
=100 dpm
A nurse is asked to make up 0.4 mg of Naloxone in 10 mL with saline for titration. What concentration of Naloxone will they have per mL?
a) 0.5
b) 0.004
c) 0.4
d) 0.04
0.4/10
=0.04
The charge nurse calls you into the treatment room and hands you a syringe with 1g Flucoxin (flucloxacillin sodium monohydrate) which they had reconstituted in 20 mL water, saying that they need to leave the ward. They ask you to administer the medication for them. You should:
a) tell the charge nurse you will give the injection as soon as you can
b) decline to administer the injection
c) complete the task and sign for the medication
d) tell them to ask another nurse as you are busy
b) decline to administer the injection
Which of the following is a CORRECT statement about one of the ways oral hypoglycaemic medications act?
a) They stimulate glycogenolysis
b) They increase insulin resistance in skeletal muscle and adipose cells
c) They assist the facilitated transport of glucose into skeletal muscle cells
d) They stimulate the release of glucagon to reduce blood glucose concentration
c) They assist the facilitated transport of glucose into skeletal muscle cells
A client is due to have their prescribed medications at 10:00. When the nurse arrives, the client states that they do not want the medication. The nurse should…
a) leave their medication on the locker to take later
b) notify the physician immediately
c) persuade the patient to take their medication
d) Document their refusal on the medication chart and follow up by 11:00
d) Document their refusal on the medication chart and follow up by 11:00
A registered nurse is about to go on their meal break when they are approached by an enrolled nurse they are working with. They tell the registered nurse that they need to draw up subcutaneous heparin. The registered nurse should…
a) ask another RN to supervise the EN
b) ask the EN to draw up the heparin and you will give it
c) supervise the EN drawing up and administering the heparin
d) tell them to look it up in the procedures book and follow what it has to say
c) supervise the EN drawing up and administering the heparin
